JOHNNY DWAYNE FRALEY

KINGSPORT, TN
NPI1427666460
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: VA  0024179740)
Enumeration Date2020-07-15
Last Update Date2020-07-15
Business Address
Mr. JOHNNY DWAYNE FRALEY FNP
1905 AMERICAN WAY
KINGSPORT, TN 37660-5882
Phone number: 423-224-4000
Mailing Address
Mr. JOHNNY DWAYNE FRALEY FNP
112 SHEFFIELD LN
GATE CITY, VA 24251-5707
Phone number: 276-696-1539
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